Riesgo cardiovascular y factores asociados a la salud en personas afrodescendientes hipertensas residentes en la comunidad Quilombola
DOI:
https://doi.org/10.15649/cuidarte.1165Keywords:
Enfermedades cardiovasculares, Factores de riesgo, Grupo de ascendencia continental africana, Vulnerabilidad de saludAbstract
Introducción: La hipertensión es un factor de riesgo cardiovascular de gran magnitud entre las personas de ascendencia africana, especialmente las que viven en quilombos. Sin embargo, se sabe poco sobre los factores asociados con el riesgo cardiovascular en los residentes de la comunidad urbana Quilombola. Objetivo: Analizar el riesgo cardiovascular y los factores asociados con la salud en el contexto familiar de los descendientes africanos hipertensos que viven en una comunidad urbana de Quilombolas. Material y métodos: Este es un estudio transversal y basado en la comunidad, realizado desde noviembre de 2017 hasta marzo de 2018. La población de estudio consistió en 303 pacientes hipertensos inscritos en la unidad de salud familiar, de edad de 35 a 79 años, ambos sexos; y en el uso medicamentos antihipertensivos. Los instrumentos utilizados para producir los datos fueron: el Cuestionario de Hipertensión en Atención Primaria, la puntuación de riesgo de Framingham. Resultados: Se observó una asociación significativa entre el riesgo cardiovascular y los antecedentes familiares de enfermedad cardiovascular (ECV) (p <0.011), diabetes tipo II (p <0.001) y sobrepeso y obesidad (p <0.010). Conclusión: La investigación mostró que las personas Quilombolas hipertensos tienen resultados consistentes con respecto al riesgo cardiovascular, especialmente con la inclusión de antecedentes familiares de ECV, diabetes tipo II, sobrepeso y obesidad, educación y sexo con asociaciones significativas.
Como citar este artículo: Rosa, Randson Souza; Ribeiro, Ícaro José do Santos; Silva, Jaine Kareny da; Souza, Luiz Humberto Rodrigues; Cruz, Diego Pires; Damasceno, Rudson Oliveira; Souza Júnior, Edison Vitório de; Boery, Rita Narriman Silva de Oliveira. Cardiovascular Risk and Factors Associated to the Health of Hypertensive African Descent People Resident in Quilombola Community. Revista Cuidarte. 2021;12(2):e1165. http://dx.doi.org/10.15649/cuidarte.1165
References
- Freitas DA, Caballero AD, Marques AS, Hernández CIV, Antunes SLNO. Saúde e comunidades quilombolas: uma revisão da literatura. Rev. CEFAC 2011;13(5): 937-943. https://doi.org/10.1590/S1516-18462011005000033
- Paiva SG. Fatores de risco para doenças cardiovasculares em quilombos contemporâneos do Brasil Central: parâmetros demográficos, socioeconômicos, ancestralidade genética e saúde. 2017. 269 f., il. Tese (Doutorado em Biologia Animal) - Universidade de Brasília, Brasília, 2017.
- Ofori SN, Odia OJ. Risk assessment in the prevention of cardiovascular disease in low-resource settings. Indian Heart J 2016;68(3):391-398. https://doi.org/10.1016/j.ihj.2015.07.004
- World Health Organization. Información general sobre la Hipertensión en el mundo. Géneve, Suiza: World Health Organization, 2013.
- Lotufo PA. Cardiovascular diseases in Brazil: premature mortality, risk factors and priorities for action Comments on the preliminary results from the Brazilian National Health Survey (PNS), 2013. Sao Paulo Med J 2015a;133(2):69-72. https://doi.org/10.1590/1516-3180.2015.13320018
- Ferdinand KC. Coronary artery disease in minority racial and ethnic groups in the United States. Am J Cardiol 2006;97(2A):12A–19A. https://doi.org/10.1016/j.amjcard.2005.11.011
- Pearson-Stuttard J, Guzman-Castillo M, Penalvo JL, Rehm CD, Afshin A, Danaei G, et al. Modeling future cardiovascular disease mortality in the United States: national trends and racial and ethnic disparities. Circulation 2016;133(10):967-78. https://doi.org/10.1161/CIRCULATIONAHA.115.019904
- Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics-2016 update a report from the American Heart Association. Circulation 2015;133:e38-e360.
- Paes NA, Silva CS, Figueiredo TMRM, Cardoso MAA, Lima JO. Satisfação dos usuários hipertensos com os serviços da rede de atenção primária no Brasil: um estudo de validação. Rev Panam Salud Publica. 2014; 36(2): 87-9.
- Hurley LP, Dickinson LM, Estacio RO, Steiner JF, Havranek EP. Prediction of Cardiovascular Death in Racial/Ethnic Minorities using Framingham Risk Factors. Circ Cardiovadc Qual Outcomes 2010;3(2):181-187. https://doi.org/10.1161/CIRCOUTCOMES.108.831073
- Xavier HT, Izar MC, Faria Neto JR, Assad MH, Rocha VZ, Sposito AC, Fonseca FA, et al. V. Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose. Arq Bras Cardiol 2013;101(Supl 1):1-22. https://doi.org/10.5935/abc.2013S010
- Brasil. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional de Saúde: PNS2013. Manual de Antropometria. Rio de Janeiro, 2013.
- World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva, 1995. (WHO Technical Report Series, n. 854).
- National Cholesterol Education Program. Executive summary of the Third Report of the. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 2001; 285:2486-97. https://doi.org/10.1001/jama.285.19.2486
- Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT, et al. Sociedade Brasileira de Cardiologia; Sociedade Brasileira de Hipertensão; Sociedade Brasileira de Nefrologia. 7 th Brazilian Guideline of Arterial Hypertension. Arq Bras Cardiol 2016;107(Suppl 3):1-83.
- Oluyombo R, Olamoyegun MA, Olaifa O, Iwuala SO, Babatunde OA. Cardiovascular risk factors in semi-urban communities in southwest Nigeria: patterns and prevalence. J Epidemiol Global Health. 2014;5(2):167-174. https://doi.org/10.1016/j.jegh.2014.07.002
- Agyemang C, Addo J, Bhopal R, Aikins AG, Stronks K. Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review. Global Health 2009;5:7. https://doi.org/10.1186/1744-8603-5-7
- Rosa RS, Macêdo DA, Oliveira BG, Bonfim ES, Casotti C, Prado IP. Evidências para o cuidado de enfermagem na avaliação do Risco Coronariano em Pacientes Hospitalizados. Revista de Pesquisa: Cuidado é Fundamental Online 2016;8(2):4460-4471. https://doi.org/10.9789/2175-5361.2016.v8i2.4460-4471
- Oguoma VM, Nwose EU, Skinner TC, Richards RS, Digban KA, Onyia IC. Association between metabolic syndrome and 10-year risk of developing cardiovascular disease in a Nigerian population. Int Health. 2016;8(5):354-9. https://doi.org/10.1093/inthealth/ihw013
- Barber S, Hickson DA, Wang X, Sims M, Nelson C, Diez-Roux AV. Neighborhood disadvantage, poor social conditions, and cardiovascular disease incidence among African American adults in the Jackson Heart Study. American Journal of Public Health 2016;106(12):2219–2226. https://doi.org/10.2105/AJPH.2016.303471
- Oguoma VM, Nwose EU, Skinner TC, Digban KA, Onyia IC, Richards RS. Prevalence of cardiovascular disease risk factors among a Nigerian adult population: relationship with income level and accessibility to CVD risks screening. BMC Public Health 2015;15:397. https://doi.org/10.1186/s12889-015-1709-2
- Anyabolu EN, Okoye IC. Association of Marital Status with Cardiovascular Risks in Urban Dwellers in Nigeria. International Journal of Internal Medicine 2017;6(3):43-48. https://doi.org/10.5923/j.ijim.20170603.01
- Manfredini R, Giorgi A, Tiseo R, Boari B, Cappadona R, Salmi R, et al. Marital Status, Cardiovascular Diseases, and Cardiovascular Risk Factors: A Review of the Evidence. J Womens Health (Larchmt) 2017;26(6):624-632. https://doi.org/10.1089/jwh.2016.6103
- Wong CW, Kwok CS, Narain A, Gulati M, Mihalidou AS, Wu P. Marital status and risk of cardiovascular diseases: a systematic review and meta-analysis. Heart. 2018:104(23). https://doi.org/10.1136/heartjnl-2018-313005
- Chandra V, Szklo M, Goldberg R, Tonascia J. The impact of marital status on survival after an acute myocardial infarction: A population-based study. Am J Epidemiol. 1983;117:320–325. https://doi.org/10.1093/oxfordjournals.aje.a113544
- Scheuner MT, Setodji CM, Pankow JS, Blumenthal RS, Keeler E. General cardiovascular risk profile identifies advanced coronary artery calcium and is improved by family history: the multiethnic study of atherosclerosis. Circ Cardiovasc Genet. 2010;3:97-105. https://doi.org/10.1161/CIRCGENETICS.109.894527
- Paynter NP, Chasman DI, Paré G, Buring JE, Cook NR, Miletich JP, et al. Association between a literature-based genetic risk score and cardiovascular events in women. JAMA 2010;303:631-637. https://doi.org/10.1001/jama.2010.119
- Pandey AK, Blaha MJ, Sharma K, Rivera J, Budoff MJ, Blankstein R, et al. Family history of coronary heart disease and the incidence and progression of coronary artery calcification: Multi-Ethnic Study of Atherosclerosis (MESA). Atherosclerosis 2014;232:369–376. https://doi.org/10.1016/j.atherosclerosis.2013.11.042.
- Mendis SP, Norrving, B. Global atlas on cardiovascular disease prevention and control. World Health Organization, Geneva, 2011.
- Kramer KM, Newton KM, Sivarnjan Froelicher ES. Cardiovascular risk factors. Philadelphia: Lippincott, Williams & Wilkens. 2008;6:753-782.
- Burger A, Pretorius R, Fourie CMT, Schutte AE. The relationship between cardiovascular risk factors and knowledge of cardiovascular disease in African men in the orth-West Province. Health SA Gesondheid. 2016;21:364 – 371. https://doi.org/10.1016/j.hsag.2016.07.003
- Tulloch-Reid MK, Younger NO, Ferguson TS, Francis DK, Abdulkadri AO, Gordon-Strachan GM, et al. Excess Cardiovascular Risk Burden in Jamaican Women Does Not Influence Predicted 10-Year CVD Risk Profiles of Jamaica Adults: An Analysis of the 2007/08 Jamaica Health and Lifestyle Survey. PLoS ONE. 2013;8(6):e66625. https://doi.org/10.1371/journal.pone.0066625
- Frieden TR. Centers for Disease Control and Prevention (CDC): Foreword. MMWR Surveill Summ. 2013: 62(Suppl 3):1-2.
- Taylor HA, Coady SA, Levy D, Walker ER, Vasan RS, Liu J, et al. Relationships of BMI to cardiovascular risk factors differ by ethnicity. Obesity. 2010;18:1638-1645. https://doi.org/10.1038/oby.2009.407
- Ojo OS, Malomo SO, Sogunle PT. Blood pressure (BP) control and perceived family support in patients with essential hypertension seen at a primary care clinic in Western Nigeria. J Family Med Prim Care. 2016;5(3):569–575. https://doi.org/10.4103/2249-4863.197284
- Silventoinen K, Hjelmborg J, Möller S, Ripatti S, Skythe A, Tikkanen E, et al. Family aggregation of cardiovascular disease mortality: a register-based prospective study of pooled Nordic twin cohorts. International Journal of Epidemiology 2017;46:1223-1229. https://doi.org/10.1093/ije/dyx012
- Borhanuddin B, Nawi AM, Shah SA, Abdullah N, Zakaria SZS, Kamaruddin MA, et al. 10-Year Cardiovascular Disease Risk Estimation Based on Lipid Profile-Based and BMI-Based Framingham Risk Scores across Multiple Sociodemographic Characteristics: The Malaysian Cohort Project. The Scientific World Journal. 2018:1-8. https://doi.org/10.1155/2018/2979206.
- D'Agostino RB Sr. Grundy S, Sullivan LM, Wilson P. Validation of the Framingham coronary heart disease prediction scores: results of a multiple ethnic groups investigation. JAMA. 2001;286:180–187. https://doi.org/10.1001/jama.286.2.180
- Matsha TE, Hassan MS, Kidd M, Erasmus RT. The 30-year cardiovascular risk profile of South Africans with diagnosed diabetes, undiagnosed diabetes, pre-diabetes or normoglycaemia: The Bellville-South Africa Pilot Study. Cardiovasc J Afr 2012;23:5-11. https://doi.org/10.5830/CVJA-2010-087
- Matheus AS, Tannus LR, Cobas RA, Palma CC, Negrato CA, Gomes MB. Impact of diabetes on cardiovascular disease: an update. Int J Hypertens. 2013;2013:1-15. https://doi.org/10.1155/2013/653789
- Rivellese AA, Riccardi G, Vaccaro O. Cardiovascular risk in women with diabetes. Nutr Metab Cardiovasc Dis 2010;20:474–480. https://doi.org/10.1016/j.numecd.2010.01.008
- Appelman Y, Van Rijn BB, Ten Haaf ME, Boersma E, Peters SA. Sex differences in cardiovascular risk factors and disease prevention. Atherosclerosis. 2015;241:211-218. https://doi.org/10.1016/j.atherosclerosis.2015.01.027
- Behrens I, Basit S, Melbye M, Lykke JA, Wohlfahrt J, Bundgaard H, et al. Risk of post-pregnancy hypertension in women with a history of hypertensive disorders of pregnancy: Nationwide cohort study. BMJ 2017;358. https://doi.org/10.1136/bmj.j3078
- Wannamethee SG, Shaper AG, Whincup PH, Lennon L, Sattar N. Impact of diabetes on cardiovascular disease risk and all-cause mortality in older men: influence of age at onset, diabetes duration, and established and novel risk factors. Arch Intern Med. 2011;171:404–410. https://doi.org/10.1001/archinternmed.2011.2
- Wei G, Coady S, Goff D, Brancati FL, Levy D, Selvin E, et al. Blood pressure and the risk of developing diabetes in African American and Whites. Diabetes Care 2011;34:873–9. https://doi.org/10.2337/dc10-1786
Published
How to Cite
Issue
Section
Categories
Altmetrics
Downloads
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.